APPLICATIONS FOR INDIVIDUAL PRACTITIONERS

Individuals: Download a coverage application.

APPLICATIONS FOR GROUP PRACTITIONERS AND GROUP ENTITIES

To submit a group application, fill out one Group Entity application and one application for each employed physician and employed non-physician you are seeking coverage for. You can also use our easy online enrollment process. Contact your agent or fill out a quote form to get started.

• Group Application: Download a coverage application.

• Physicians: Download a coverage application.

• Non-Physicians: Download a coverage application.

Medical Professional Liability Policies & Forms

Policy Specimen – Download our complete Professional Liability Policy Specimen. Note that each state has an amendatory endorsement that may alter certain terms and provisions of the policy specimen.

Fraud Warning – For a listing of Application Fraud Warnings by state.

Business Associate Documents – Download our complete Business Associate Agreement.